Individual
DR. KENNETH JOHN WENDORF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.D.S.
Contact information
Practice address
3220 80TH ST, KENOSHA, WI 53142-4948
(252) 694-8500
Mailing address
3220 80TH ST, KENOSHA, WI 53142-4948
(252) 694-8500
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
5001665
WI
Other
Enumeration date
06/03/2008
Last updated
06/03/2008
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